O'Donnell, Laura

O'Donnell, Laura is an individual health care provider with primary practice located at 656 Carpenter Ave , Mooresville NC 28115-2538. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. O'Donnell, Laura can be contacted via phone (704) 664-5133.

Contact Information

Primary practice address
656 Carpenter Ave Mooresville NC 28115-2538
Phone: (704) 664-5133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200301394 North Carolina
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 200301394 North Carolina

Profile Details

NPI number 1215912803
LBN Legal business name O'Donnell, Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Oct 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215912803 NPPES
North Carolina MEDICAID 89137VH

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